| NPI | 1285913772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R156586) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN967237) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173077) | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2021-07-16 |