| NPI | 1649649468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R191391) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R191391) |
| 363L00000X Nurse Practitioner (Licence: DC RN1020313) | |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024172973) | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2023-07-30 |