| NPI | 1073360418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN200401) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN200401) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2025-01-31 |