| NPI | 1013684984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN263864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN263864) |
| 363L00000X Nurse Practitioner (Licence: GA RN263864) | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-12-08 |