| NPI | 1124523139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN212240) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA RN212240) |
| 363L00000X Nurse Practitioner (Licence: NV 832669) | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2023-10-11 |