| NPI | 1285241554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1039064) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180229) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2025-07-21 |