| NPI | 1396497178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024185733) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC007397) |
| Enumeration Date | 2022-01-22 |
| Last Update Date | 2025-10-10 |