| NPI | 1821480559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024176784) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: DC RN1036845) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2024-03-28 |