| NPI | 1932332376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008429) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008429) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN204335) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2019-09-16 |