| NPI | 1992046486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN206720) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004696) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2024-07-24 |