| NPI | 1558807511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024184673) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95024942) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2025-02-10 |