| 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 |