| NPI | 1447512710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN097428) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN097428) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2022-05-05 |