| NPI | 1548908908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP200005447) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704311135) |
| 163W00000X Registered Nurse (Licence: VA 0001308278) | |
| 163W00000X Registered Nurse (Licence: DC RN200005447) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183523) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704311135) | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |