| NPI | 1245631076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN287463) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 18853) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2020-12-07 |