| NPI | 1316082928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN081884) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: GA RN081884) |
| 363L00000X Nurse Practitioner (Licence: GA RN081884) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-09-17 |