| NPI | 1043806250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN500226378) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R187363) |
| Enumeration Date | 2020-12-12 |
| Last Update Date | 2025-07-23 |