| NPI | 1104976349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164697) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP14814) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2025-04-14 |