| NPI | 1689383697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1042822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1042822) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2024-09-25 |