| NPI | 1376266163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95031183) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN223680) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-09-12 |