| NPI | 1942795042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1022802) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019205) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1097410) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R189104) | |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2024-01-11 |