| NPI | 1093436610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1060517) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1060517) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2025-01-27 |