| NPI | 1235021916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024194450) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R263573) |
| 363L00000X Nurse Practitioner (Licence: DC NP1041414) | |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-10-01 |