| NPI | 1598187700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1032284) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-08-26 |