| NPI | 1891095451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001077) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9336508) | |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2024-11-20 |