| NPI | 1144556549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN131917) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2012-05-18 |