| NPI | 1720787450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP500008944) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC NP500002608) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-04-07 |