| NPI | 1780465377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 353146) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1056334) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-02-16 |