| NPI | 1083071195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173829) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9258534) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95007191) | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2025-01-19 |