| NPI | 1700563475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194512) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC005575) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2025-11-05 |