| NPI | 1164875316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9658-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001844) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174166) | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2025-07-14 |