| NPI | 1952700833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN209939) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN209939) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2015-01-07 |