| NPI | 1295234912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175825) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001224231) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2025-09-26 |