| NPI | 1285668186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN077240) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA Rn077240) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-07-09 |