| NPI | 1568263382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192289) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500020151) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R269060) | |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |