| NPI | 1134005820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194319) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11031942) |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |