| NPI | 1427005354 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN259939)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA RN259939)  | 
| 207Q00000X Family Medicine (Licence: GA RN259939)  | |
| Enumeration Date | 2006-05-27 | 
| Last Update Date | 2024-03-27 |