| NPI | 1043833262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183606) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014648) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2024-10-17 |