| NPI | 1932510609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004183) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN136292) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2026-04-08 |