| NPI | 1336588268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.18474.RX) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN232347) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-10-04 |