| NPI | 1497638621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R258470) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN500005917) |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |