| NPI | 1609323369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN203532) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN203532) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2018-03-26 |