| NPI | 1760005367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2024013672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN500006857) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP500006857) | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-05-23 |