| NPI | 1942748330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007515) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN218706) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA RN95142259) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2024-03-29 |