| NPI | 1326320318 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: GA RN154582) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC APRN17953) | 
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: SC 213642) | |
| Enumeration Date | 2011-09-15 | 
| Last Update Date | 2023-03-01 |