| NPI | 1265072896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN255908) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN255908) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN597161) | |
| Enumeration Date | 2020-01-12 |
| Last Update Date | 2021-01-15 |