| NPI | 1871910737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033069) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 306967) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9263754) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2025-03-03 |