| NPI | 1982884755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC NP500021593) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: AK 996) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 996) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2025-07-23 |