| NPI | 1861351017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024197725) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001294842) |
| Enumeration Date | 2026-01-21 |
| Last Update Date | 2026-09-01 |