| NPI | 1528641800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R260733) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP500002181) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2023-10-16 |