| NPI | 1306977178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GA-RN038352NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA ANCC-0014642-21) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |