| NPI | 1760864425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186755) |
| Additional Taxonomies | 251E00000X Home Health (Licence: DC RN1013300) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-05-05 |