| NPI | 1548444573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN126531) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN126531) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2021-01-04 |