| NPI | 1518390012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN175534) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN175534) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2018-08-09 |