| NPI | 1366190142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN286544) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN286544) |
| 163W00000X Registered Nurse (Licence: GA RN286544) | |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2024-01-04 |