| NPI | 1659049112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R147815) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP0961076) |
| 163W00000X Registered Nurse (Licence: DC RN961076) | |
| 163W00000X Registered Nurse (Licence: MD R147815) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11025839) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA NP0961076) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1112441) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-04-17 |