| NPI | 1407090905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN247219) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2018-02-27 |