| NPI | 1780385468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP1041758) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1041758) |
| 363L00000X Nurse Practitioner (Licence: MD R221753) | |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2025-11-14 |