| NPI | 1730851601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024191782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017908) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2025-04-14 |