| NPI | 1770902124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN238548) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 850946) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 254771) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2024-05-10 |