| NPI | 1417140443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 13071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN168713) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2013-10-21 |