| NPI | 1851985923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VI AP163634) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2025-08-29 |