| NPI | 1649624628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN220674) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN220674) |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2016-11-14 |