| NPI | 1962861773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1048316) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004209) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175429) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1130000) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5019487) | |
| 363L00000X Nurse Practitioner (Licence: NY 340352) | |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2024-02-29 |