| NPI | 1447919626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN285909) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: GA RN285909) |
| 363LF0000X Nurse Practitioner Family (Licence: TX 1084237) | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2024-07-15 |