| NPI | 1518380773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC NP500002931) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN235296) |
| 363L00000X Nurse Practitioner (Licence: TX 740463) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP500002931) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024180646) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R244933) | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2022-07-12 |