| NPI | 1659925071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27325) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R234541) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1036120) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5012822) | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2024-03-06 |