| NPI | 1255068920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R176010) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP1007148) | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-09-23 |