| NPI | 1093311490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179569) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017321) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2023-10-20 |