| NPI | 1558737718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN251281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 339494) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-09-25 |