| NPI | 1871052282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178915) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-120744) |
| 163W00000X Registered Nurse (Licence: MD R221853) | |
| 163W00000X Registered Nurse (Licence: DC RN1020126) | |
| 363L00000X Nurse Practitioner (Licence: MD R221853) | |
| 363L00000X Nurse Practitioner (Licence: AL 1-120744) | |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2022-08-02 |