| NPI | 1497032452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN226639) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 20873) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2025-05-15 |