| NPI | 1982337671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD r216007) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC np1031813) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2025-10-02 |