| NPI | 1104494897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN239431) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN239431) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2023-05-26 |