| NPI | 1003579343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN323177) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN323177) |
| 363L00000X Nurse Practitioner (Licence: NJ 26NJ01218300) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN323177) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ01218300) | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2024-03-01 |