| NPI | 1275282105 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA APRN-NP281484) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN281484) | 
| Enumeration Date | 2022-03-18 | 
| Last Update Date | 2025-10-23 |