| NPI | 1235899527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN248682) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: GA RN248682) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2024-03-27 |