| NPI | 1639822778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP500006442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 348798) |
| 363L00000X Nurse Practitioner (Licence: MD AC007169) | |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2026-03-18 |