| NPI | 1962838219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171199) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024171199) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP200004068) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5017919) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1130231) | |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2025-03-14 |