| NPI | 1053356410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1935242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190963) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2026-06-01 |