| NPI | 1801597695 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1049160) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R239220) | 
| Enumeration Date | 2023-03-17 | 
| Last Update Date | 2024-09-05 |