| NPI | 1831491091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN328708) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 20400) |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2024-12-18 |