| NPI | 1407530942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024186069) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC NP00006975) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95022021) | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |