| NPI | 1376096222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN190790) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: GA RN190790) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2023-02-15 |