| NPI | 1750688362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 16728) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN197183) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2012-07-09 |