| NPI | 1730558347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 318782) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95003424) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 850352) | |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2024-10-29 |