| NPI | 1336461912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1850432) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN096819) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2013-11-14 |