| NPI | 1194283184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 637148) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC002865) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186140) | |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2026-08-06 |