| NPI | 1417629403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD AC005797) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024188012) |
| 363LF0000X Nurse Practitioner Family (Licence: WV 117249) | |
| 363LF0000X Nurse Practitioner Family (Licence: PA PA066069) | |
| 363LF0000X Nurse Practitioner Family (Licence: MA RN2386999) | |
| 363LF0000X Nurse Practitioner Family (Licence: MS 904864) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2025-03-25 |