| NPI | 1841719242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA F09170123) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2025-04-03 |