| NPI | 1649426024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN130096) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN130096) |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2021-12-22 |