| NPI | 1952842536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1040936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174622) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2022-05-20 |