| NPI | 1558962506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1057108) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R153928) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2023-06-29 |