| NPI | 1952963910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD AC003282) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1025113) |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024178268) | |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2020-11-18 |