| NPI | 1639226939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0017136969) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0017136969) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2025-07-27 |