| NPI | 1306465844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD NP209839) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192580) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2025-05-06 |