| NPI | 1891193694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP-55239) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024191273) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 311496) | |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2026-03-31 |