| NPI | 1184367161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN277990) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN277990) |
| 163W00000X Registered Nurse (Licence: GA RN277990) | |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2023-11-29 |