| NPI | 1699127936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R213930) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1023485) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184998) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2022-09-16 |