| NPI | 1578870457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN211306) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9234658) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2021-03-31 |