| NPI | 1366810590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN279567) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: GA RN279567) |
| 363L00000X Nurse Practitioner (Licence: NC 5007958) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2019-09-11 |