| NPI | 1740969930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R226083) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1054406) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2024-10-17 |