| NPI | 1588223507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1009490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R175346) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2025-09-02 |