| NPI | 1316725591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024195270) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001255636) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2025-11-07 |