| NPI | 1447721881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024177116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001189021) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2025-07-28 |