| NPI | 1528594462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R200573) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC NP1042793) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024179533) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2026-02-28 |