| NPI | 1326673633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011890) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN306491) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024189078) | |
| 363L00000X Nurse Practitioner (Licence: NC 5021802) | |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2026-05-13 |