| NPI | 1417492430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186853) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MA RN2312465) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2025-06-02 |