| NPI | 1154706067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN209084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023305) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2025-04-25 |