| NPI | 1700362761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95018787) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2473) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2026-08-07 |