| NPI | 1851614531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN123684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN123684) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2017-05-23 |