| NPI | 1497413587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP20000532) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024182878) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2024-06-17 |