| NPI | 1750712568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178240) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23774) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2020-06-23 |