| NPI | 1184894966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN 16781) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN188172) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2013-03-19 |