| NPI | 1467818807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC NP1052767) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: DC NP1052767) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MD R237771) | |
| 163W00000X Registered Nurse (Licence: DC 1052767) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: DC NP1052767) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2024-01-18 |