| NPI | 1508232331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002577) |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2025-09-23 |