| NPI | 1114663614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1058487) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R241043) |
| Enumeration Date | 2022-05-07 |
| Last Update Date | 2026-01-19 |