| NPI | 1134324999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN093591) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA RN093591) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-04-23 |