| 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 | 2025-07-30 |