| NPI | 1528591674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1055838) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024174724) |
| 363L00000X Nurse Practitioner (Licence: DC RN1055838) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-12-22 |