| NPI | 1447463914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN135364) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: GA RN135364) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN135364) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-05-05 |