| NPI | 1588954234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1038772) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R214088) |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024169342) | |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0017140007) | |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2022-11-18 |