| NPI | 1215754429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R268933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500020078) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192166) | |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2025-09-02 |