| NPI | 1346610177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN162347) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN162347) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2018-05-30 |