| NPI | 1205197571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R238005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R238005) |
| 163W00000X Registered Nurse (Licence: DC RN200004115) | |
| 163W00000X Registered Nurse (Licence: NY 655245) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2024-08-26 |