| NPI | 1871616003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9235588) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN189729) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2010-07-22 |