| NPI | 1992289334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178368) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 690558) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1049829) | |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2022-05-09 |