| NPI | 1881118685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1061175) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175328) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2021-02-22 |