| NPI | 1265783112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN225897) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010588) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2018-07-09 |