| NPI | 1215386396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN165295) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN165295) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN165295) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-10-29 |