| NPI | 1295386415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 00024178100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC003782) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP1042845) | |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2026-04-21 |