| NPI | 1578934279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024172621) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11016321) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005619) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R201806) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2022-08-30 |