| NPI | 1477824894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN229290) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ AP4289) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2023-11-29 |