| NPI | 1306180823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN192897) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN192897) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2014-05-13 |