| NPI | 1881254738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001311653) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193816) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2026-01-12 |