| NPI | 1023423332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN190938) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA NCO-000001) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |