| NPI | 1699277012 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1061173) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2297456) | 
| 363LF0000X Nurse Practitioner, Family (Licence: MA 2297456) | |
| Enumeration Date | 2018-03-01 | 
| Last Update Date | 2025-03-17 |