| NPI | 1275937054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN159373) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: GA RN159373) |
| 163W00000X Registered Nurse (Licence: GA RN159373) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: GA RN159373) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2019-03-14 |