| NPI | 1871918805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1006063) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171420) | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2023-07-13 |