| NPI | 1467908947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003796) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA rn207356) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2023-09-19 |