| NPI | 1306314901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1052979) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1052979) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 25163) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DC RN1052979) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2021-09-29 |