| NPI | 1255784955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN229131) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN223191) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2021-07-09 |