| NPI | 1700428778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN967033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R166516) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2023-08-04 |