| NPI | 1437330412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R877985) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN 123403) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2015-03-09 |