| NPI | 1629602636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1031739) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024178465) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2022-09-30 |