| NPI | 1093883308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN117533) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 2575) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2013-02-26 |