| NPI | 1225918832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1057771) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R230156) |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2026-02-10 |