| NPI | 1790390144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030301) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11030301) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R234736) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1034497) | |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2024-05-02 |