| NPI | 1114561263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1053033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178065) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP142688) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-12-19 |