| NPI | 1508838830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN193814) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4333P) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2022-04-18 |