| NPI | 1275227118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187683) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R222428) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2025-09-03 |