| NPI | 1932847217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500011164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2332362) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2025-07-14 |