| NPI | 1609242080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176416) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1013315) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209013039) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2022-04-19 |