| NPI | 1295077899 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP000553) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015313) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 03518) | |
| Enumeration Date | 2013-03-21 | 
| Last Update Date | 2022-10-24 |