| NPI | 1518295237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN229442) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1108144) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9347971) | |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2014-12-08 |