| NPI | 1730531187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024180633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1019766) |
| 363LF0000X Nurse Practitioner Family (Licence: OK 131503) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2021-09-21 |