| NPI | 1316113913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN241333) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC APRN4139) |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2014-11-17 |