| NPI | 1356994321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177906) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016635) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2024-04-29 |