| NPI | 1821804659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP500022670) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11036409) |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2025-09-10 |