| NPI | 1184026379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000019205) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN234875) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-11-06 |