| NPI | 1316040264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN259622) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R740067) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2022-03-23 |