| NPI | 1396138368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN167551) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA F0315251) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2018-03-17 |