| NPI | 1023559937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95012987) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 108291) |
| 363L00000X Nurse Practitioner (Licence: GA RN228928) | |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2024-12-02 |