| NPI | 1801062229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001201522) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2026-06-15 |