| NPI | 1407345911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN252617) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA RN252617) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN252617) | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2026-03-24 |