| NPI | 1871064816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184409) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024184409) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1057430) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R206485) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R206485) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2022-12-05 |