| NPI | 1861236770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 259545) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2025-07-30 |