| NPI | 1609637933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024194126) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: VA 0001286710) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2025-08-18 |