| NPI | 1063942555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 8742) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1050784) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R214567) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP021660) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2020-05-10 |