| NPI | 1245094697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN283970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN283970) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-20 |