| NPI | 1023505328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 308663) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN1043025) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2025-03-15 |