| NPI | 1093238834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN296746) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 669353) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95004212) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2025-01-16 |