| NPI | 1922184027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN146794NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650161NP) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2009-03-13 |