| NPI | 1821525262 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1055037) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006247) | 
| 363LF0000X Nurse Practitioner, Family (Licence: MD R269682) | |
| Enumeration Date | 2017-05-16 | 
| Last Update Date | 2025-03-24 |