| NPI | 1639801145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184550) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD AC005762) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2025-10-01 |