| NPI | 1326736000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP500009472) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R212569) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2026-04-27 |