| NPI | 1770556953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 93472) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: GA RN093472NP) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2011-09-15 |