| NPI | 1730308883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN 133811 NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN133811) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-04-25 |