| NPI | 1376186775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R240022) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178158) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1037197) | |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2021-01-27 |