| NPI | 1518449768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN228399) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: GA RN228399) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA RN228399) | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2023-08-21 |