| NPI | 1225364599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN253219) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014318) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01776) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2017-07-10 |