| NPI | 1023687860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: GA RN307188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000248447) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN307188) | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2022-08-19 |