| NPI | 1356891220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN201550) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN2012550) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN201550) | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2022-03-18 |