| NPI | 1326391491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN177143) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN177143) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2022-05-04 |