| NPI | 1992398051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1028339) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181281) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC003623) | |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2024-09-24 |