| NPI | 1689430936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R231913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN200006296) |
| 163W00000X Registered Nurse (Licence: MD R231913) | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-04-17 |