| NPI | 1386277036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95039036) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN213404) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2026-04-21 |