| NPI | 1396366514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1056925) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R237341) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2026-03-26 |