| NPI | 1093307498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R210983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1032411) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180655) | |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2021-02-07 |