| NPI | 1104374693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 819106) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2024-02-21 |