| NPI | 1144784372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN222355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN222355) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2021-03-11 |