| NPI | 1356137863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028771) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500008627) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193224) | |
| Enumeration Date | 2025-04-19 |
| Last Update Date | 2025-09-10 |