| NPI | 1336493519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN111974) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: GA RN111974) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2016-07-14 |