| NPI | 1083923866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004878A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN090604NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN090604) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2018-08-07 |