| NPI | 1821471673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC006131) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024176693) |
| 363L00000X Nurse Practitioner (Licence: DC RN1047903) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704155645) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2023-12-28 |