| NPI | 1841156155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R251849) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001322748) |
| Enumeration Date | 2025-12-30 |
| Last Update Date | 2026-08-19 |