| NPI | 1386010478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN215942) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN215942) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2025-11-04 |