| NPI | 1982752580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179598) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA 0024179598) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2026-03-24 |