| NPI | 1508495268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP000413) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9416572) |
| 163W00000X Registered Nurse (Licence: CA 95156877) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA GAA-NP000413) | |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2021-11-16 |