| NPI | 1780442376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1063427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R244801) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |