| NPI | 1134999774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R182469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024189637) |
| 363LF0000X Nurse Practitioner Family (Licence: DC NP500016554) | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2025-07-31 |