| NPI | 1346874021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN205156) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 904341) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2022-01-24 |