| NPI | 1538246681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-080955) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN154322NP) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-01-06 |