| NPI | 1699883827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R214477) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024154175) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 0001154175) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2022-07-21 |