| NPI | 1609206523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024178910) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23757) |
| 163W00000X Registered Nurse (Licence: CA 788745) | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2025-09-11 |