| NPI | 1104660448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP200003371) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD ACOO6711) | |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-07-24 |