| NPI | 1275901977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9266375) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002687) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175631) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1046125) | |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2021-08-11 |