| NPI | 1881945319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: DC RN1004987) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R175855) |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024170289) | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2023-04-06 |