| NPI | 1518743251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP50018272) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F351096) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-07-22 |