| NPI | 1225799117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN249946) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN249946) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-03-24 |