| NPI | 1083736755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN001542) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN67339) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167292) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-05-20 |