| NPI | 1144861485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN180746) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11034882) |
| 363L00000X Nurse Practitioner (Licence: GA RN180746) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2024-09-18 |