| NPI | 1720244056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177762) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001254096) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2025-09-30 |