| NPI | 1639379852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024147646) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN50872) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024147646) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2022-11-03 |