| NPI | 1386078400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN165239) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist Acute Care (Licence: GA RN165239) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |