| NPI | 1184421901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194159) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001280593) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-11-07 |