| NPI | 1720377641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN210599) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MS R544779) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2018-03-02 |