| NPI | 1992888945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN183206) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN183206NP) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-03-17 |