| NPI | 1467518811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN052669) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN052669) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN052669) | |
| 363L00000X Nurse Practitioner (Licence: GA RN052669) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2015-04-22 |