| NPI | 1568179802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185374) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500226622) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2025-08-28 |