| NPI | 1366997603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1057028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008834) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R234248) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1138814) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-02-29 |