| NPI | 1306892013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN06084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN144204) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |