| NPI | 1184412793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R222959) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA AC007236) |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |