| NPI | 1215769435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN289734) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: GA RN289734) |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2025-02-24 |