| NPI | 1619345733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R244743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013552) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173212) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1013380) | |
| Enumeration Date | 2015-09-05 |
| Last Update Date | 2023-06-23 |