| NPI | 1902290778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172456) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 95031685) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2026-02-03 |