| NPI | 1720519283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95034282) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN213977) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2026-04-22 |