| NPI | 1962207027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193978) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: VA 0001257813) |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-08-17 |