| NPI | 1740679273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN215492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN215492) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2017-12-31 |