| NPI | 1629827001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1050757) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: DC RN1050757) |
| 363L00000X Nurse Practitioner (Licence: VA 0024191148) | |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-10-14 |