| NPI | 1619541398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023022) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180342) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2025-03-08 |