| NPI | 1477986248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 275355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95027563) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 337831) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95000510) | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2023-04-11 |