| NPI | 1952701336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172413) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 139063) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2025-07-16 |