| NPI | 1215510623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN269255) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 269255) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2024-11-01 |