| NPI | 1073025458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC 1024843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R197836) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA R197836) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2024-10-28 |