| NPI | 1265202485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024195433) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001274988) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2025-12-05 |