| NPI | 1306880588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 000121124) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 669572) |
| 363L00000X Nurse Practitioner (Licence: MD AC000572) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-04-24 |