| NPI | 1497345367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024189786) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R210010) |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2025-01-08 |