| NPI | 1376521526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN206799) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN309755) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2015-08-25 |