| NPI | 1437350410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN200252 NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 5651) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-06-29 |