| NPI | 1174339345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1058018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191915) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-19 |