| NPI | 1891250668 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177232) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1037654) | 
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61076883) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC003123) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN395) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 240885) | |
| Enumeration Date | 2019-02-06 | 
| Last Update Date | 2024-04-24 |