| NPI | 1548804479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN1054676) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024178049) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2023-11-27 |