| NPI | 1982834750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015638) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN051061 NP) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2014-08-13 |