| NPI | 1639218571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN113630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 26677) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-05-31 |