| NPI | 1639935679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP500019938) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R222832) |
| 163W00000X Registered Nurse (Licence: MD R222832) | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-08-13 |