| NPI | 1275185175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN232545) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: GA RN232545) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2021-10-01 |