| NPI | 1538380050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 695600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 29147) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN175275) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-08-19 |