| NPI | 1033605118 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN247225) | 
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: GA RN247225) | 
| Enumeration Date | 2018-07-02 | 
| Last Update Date | 2024-10-07 |