| NPI | 1841301793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193897) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 41852) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5016583) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-11-07 |