| NPI | 1346618733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1014316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 00011250395) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC001605) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183804) | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2023-12-22 |