| NPI | 1497205777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN255641) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN55641) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2017-07-29 |