| NPI | 1275000358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN174096) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA RN174096) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN174096) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN174096) | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2023-03-23 |