| NPI | 1437561750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN280678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 161794) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2018-08-30 |