| NPI | 1518332899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173070) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005913) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2023-03-01 |