| NPI | 1306411848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: GA RN146557) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 142924) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN146557) | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2024-08-04 |