| NPI | 1093035115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN208838) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-114603) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2016-08-30 |