| NPI | 1164178349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-238558) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024183819) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2025-05-20 |