| NPI | 1023240850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN175387) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: GA RN175387) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2020-09-23 |