| NPI | 1184354326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN277785) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN277785) |
| Enumeration Date | 2022-06-11 |
| Last Update Date | 2023-10-20 |