| NPI | 1982977393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN069532) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: GA RN069532) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2020-08-18 |