| NPI | 1861195562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R230002) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1048625) |
| 163W00000X Registered Nurse (Licence: MD R230002) | |
| 363L00000X Nurse Practitioner (Licence: MD N118073) | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-09-06 |