| NPI | 1174380133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA NCO-000001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN276123) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-18 |