| NPI | 1285179234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN188755) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2025-12-18 |