| NPI | 1740821818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024178066) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1055645) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2024-05-23 |