| NPI | 1043637598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN201648) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital Rural (Licence: GA RN201648) |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2014-04-25 |