| NPI | 1871011171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008351) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN211396) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2023-10-02 |