| NPI | 1154533875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN157966) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA F0207056) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-02-05 |