| NPI | 1427343417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN190663) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015757) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2012-09-28 |