| NPI | 1710233929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO NP 990242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN203469) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |