| NPI | 1831442789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176791) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN243778) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1019439) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R189887) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2024-05-14 |