| NPI | 1003560434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1047115) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: DC RN1047115) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-08-02 |