| NPI | 1831396985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166710) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2026-04-28 |