| NPI | 1396035549 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R224377) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP1041966) | 
| Enumeration Date | 2011-04-08 | 
| Last Update Date | 2025-04-02 |