| NPI | 1841387693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN123599NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA rn123599) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-02-13 |