| NPI | 1508735978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP500328662) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA F05231038) |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2026-01-13 |