| NPI | 1194689653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024195596) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 41520) |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2026-06-22 |