| NPI | 1760072789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1028349) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 202106577NP-PP) |
| Enumeration Date | 2021-01-23 |
| Last Update Date | 2024-08-20 |