| NPI | 1164910675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1019930) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R164318) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R164318) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: DC NP1019930) | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2022-12-27 |