| NPI | 1831999358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 111652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0001317222) |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-08-12 |