| NPI | 1700160421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN303217) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP21066) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2025-10-13 |