| NPI | 1336370360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN145860) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 2084672) |
| Enumeration Date | 2009-08-08 |
| Last Update Date | 2022-04-20 |