| NPI | 1801585674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002529) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 346458) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP1043335) | |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-07-19 |