| NPI | 1689419905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R197834) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024190999) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP1026367) | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-10-23 |