| NPI | 1154950905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN277679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN277679) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2021-09-16 |