| NPI | 1710317680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R179523) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1013550) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178021) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001037) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP017761) | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2022-12-16 |