| NPI | 1659125003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP2000382) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189580) |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-07-02 |