| NPI | 1306555412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN264101) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 264101) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: GA RN264101) | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2024-11-25 |