| NPI | 1124338876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: GA RN160448 NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN160448NP) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2017-12-21 |