| NPI | 1619342581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024173104) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1015515) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2019-09-17 |