| NPI | 1417145939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN093611) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2015-03-17 |