| NPI | 1790293215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010222) |
| 163W00000X Registered Nurse (Licence: NC 261868) | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2025-09-12 |