| NPI | 1154798775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN140328) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: GA RN140328) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2016-02-04 |