| NPI | 1750534152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1002854) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167985) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2022-12-21 |