| NPI | 1972046712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC NP500023903) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 255233) |
| 363L00000X Nurse Practitioner (Licence: NC 5009125) | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2025-08-06 |