| NPI | 1659066165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95030413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001354) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 071665-23) | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-08-17 |