| NPI | 1205324548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN209600) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 209600) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-05-07 |