| NPI | 1891975322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 906) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN087400NP) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2014-06-30 |