| NPI | 1174396121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1044841) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R218861) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2025-02-24 |