| NPI | 1891347522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP030068) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186407) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 903243) | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2026-08-06 |