| NPI | 1003280975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN193221) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA RN193221) |
| 363L00000X Nurse Practitioner (Licence: GA RN193221) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN193221) | |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2025-10-15 |