| NPI | 1851062335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024183381) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN671243) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2026-01-06 |