| NPI | 1235834698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1046777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R219532) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R219532) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP1046777) | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2024-09-23 |