| NPI | 1700395951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182967) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AK 125836) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R251277) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP500009620) | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2023-05-31 |