| NPI | 1598588642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191838) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1045369) |
| 163W00000X Registered Nurse (Licence: VA 0001287321) | |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-21 |