| NPI | 1225534472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95008620) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN236725) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-06-17 |