| NPI | 1275612889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 266240) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN167767 NP) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2015-07-21 |