| NPI | 1437130937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95024684) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN121276) |
| 363L00000X Nurse Practitioner (Licence: SC 4440) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2024-04-22 |