| NPI | 1619775749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024192791) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001220221) |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |