| NPI | 1841706652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN212810) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R214900) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1033298) | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2022-09-14 |