| NPI | 1104377605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN201294) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN201294) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2022-01-28 |