| NPI | 1689163412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177748) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN1149) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R195242) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1055017) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN2026635) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2023-06-02 |