| NPI | 1184399131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024193868) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R245439) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2026-07-07 |