| NPI | 1366172801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95035018) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-05-27 |