| NPI | 1134970254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029596) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN193659) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |