| NPI | 1356854202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN224167) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN224167) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2018-07-02 |