| NPI | 1700494457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1166572) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1053402) |
| 363L00000X Nurse Practitioner (Licence: VA 0024179697) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-07-15 |