| NPI | 1912996893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP8497) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN315678) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-191819) | |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2023-02-01 |