| NPI | 1336320290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14226) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN183019) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2009-07-16 |