| NPI | 1043826241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN271383) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: GA RN271383) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA RN271383) | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |