| 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 |