| NPI | 1821205998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024000057) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R105688) |
| 363L00000X Nurse Practitioner (Licence: DC RN59417) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |