| NPI | 1225562143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1059256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2371830) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007040A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185267) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2024-03-21 |