| NPI | 1255937306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN272746) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN272746) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2023-02-02 |