| NPI | 1700978525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN094898) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-07-22 |