| NPI | 1821290404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024157467) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN52321) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2022-07-19 |