| NPI | 1730488875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169286) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21460) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2026-04-07 |