| NPI | 1548424864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN135688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN135688NP) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2018-03-17 |