| NPI | 1366536286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN107176) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 3743) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-01-26 |