| NPI | 1225317233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 20869) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2021-10-27 |