| NPI | 1861086050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11011859) |
| Enumeration Date | 2021-02-27 |
| Last Update Date | 2025-02-22 |