| NPI | 1093042822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN226912) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9248129) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2015-06-22 |