| NPI | 1093303786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185858) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202100187NP-PP) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2025-06-12 |