| NPI | 1376041426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN256011) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN256011) |
| 163WC0400X Registered Nurse Case Management (Licence: GA RN256011) | |
| 363L00000X Nurse Practitioner (Licence: SD CP002059) | |
| 363L00000X Nurse Practitioner (Licence: GA RN256001) | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2024-02-09 |