| NPI | 1295166403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95000501) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN208844) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 743288) | |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2023-08-23 |