| NPI | 1790329720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1032265) |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2022-08-06 |