| NPI | 1336622463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R189310) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R189310) |
| 163W00000X Registered Nurse (Licence: DC NP500006321) | |
| 363LF0000X Nurse Practitioner Family (Licence: DC NP500006321) | |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2023-07-27 |