| NPI | 1538324371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN193924) |
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: GA 193924) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN193924) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2019-02-05 |