| NPI | 1972977353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R133517) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN59492) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R133517) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: DC RN59492) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MD R133517) | |
| Enumeration Date | 2015-11-22 |
| Last Update Date | 2020-04-22 |