| NPI | 1538709613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN254775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN254775) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-11-19 |