| NPI | 1083966485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN214871) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN214871) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN214871) | |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2022-04-28 |