| NPI | 1255930665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN316121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9453918) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2022-11-14 |