| NPI | 1811541519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178228) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 269467) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2026-02-05 |