| NPI | 1487214151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN184519) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 184519) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-12-03 |