| NPI | 1619114352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R180385) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024168613) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC 1005179) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2020-03-18 |