| NPI | 1033868963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004393) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2026-01-08 |