| NPI | 1003144536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 5813955-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168513) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1017399) | |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2023-03-08 |