| NPI | 1023831419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1015657) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R176666) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-02-24 |