| NPI | 1144527821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN140664) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 140664) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2022-01-21 |