| NPI | 1396894473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP331908) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA APRN-NP331908) |
| 363L00000X Nurse Practitioner (Licence: PA TP003439P) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2025-10-23 |