| NPI | 1972485167 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: DC NP500226284) | 
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CT 169054) | 
| Enumeration Date | 2025-07-21 | 
| Last Update Date | 2025-10-30 |