| NPI | 1245648245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA MT3450943) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN203228) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2024-02-09 |