| NPI | 1477382877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC006706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190541) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-08-25 |