| NPI | 1770562696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN085627) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95018949) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2023-12-11 |