| NPI | 1699255091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1034437) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R215258) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP146050) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-04-12 |