| NPI | 1558792689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182771) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18464) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2025-06-12 |