| NPI | 1265930507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R246273) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP1061163) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2025-01-03 |