| NPI | 1134118383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN188449NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2214752) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2019-01-25 |