| NPI | 1467479063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3378572) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0001180564) |
| 363L00000X Nurse Practitioner (Licence: TX 104345) | |
| 363L00000X Nurse Practitioner (Licence: DC RN967019) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-09-20 |