| NPI | 1750771853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN195091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN195091) |
| 163WE0003X Registered Nurse, Emergency (Licence: GA RN195091) | |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2016-08-18 |