| NPI | 1891823530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN144963NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN144963) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-08-11 |