| NPI | 1477890887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN217465) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN217465) |
| 163W00000X Registered Nurse (Licence: TX 2-44278) | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2015-06-20 |