| NPI | 1063702124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN178137 NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN178137) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2016-04-11 |