| NPI | 1962135533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024192981) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11020407) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2025-09-05 |