| NPI | 1265161293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1062921) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 25214) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-06-21 |