| NPI | 1407418098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN231470) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: GA RN231470) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-09-12 |