| NPI | 1457187403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA F01250431) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001212068) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2026-04-01 |