| NPI | 1245586668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN228612) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16823) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2020-04-23 |