| NPI | 1669105151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184276) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1003252) |
| 163W00000X Registered Nurse (Licence: VA 0001186014) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1003252) | |
| Enumeration Date | 2022-07-03 |
| Last Update Date | 2024-02-08 |