| NPI | 1528132636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN172768) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN172768NP) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2023-05-09 |