| NPI | 1548804685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178614) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4137) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2025-04-30 |