| NPI | 1134686207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN272472) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2023-10-27 |