| NPI | 1083427017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024192460) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 15747) |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2026-05-07 |