| NPI | 1699364638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1061161) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024180674) |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024180674) | |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-09-09 |