| NPI | 1821408121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: VA 0024178731) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN1006772) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2022-05-23 |