| NPI | 1871521948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN189926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4921P) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-04-27 |