| NPI | 1225687395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN142839) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN142839) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-11-27 |