| NPI | 1548734593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024176781) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1030233) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2023-09-18 |