| NPI | 1932579893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1025366) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0024172968) |
| Enumeration Date | 2015-10-03 |
| Last Update Date | 2022-11-30 |