| NPI | 1952446544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN966304) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN046295) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2025-11-24 |