| NPI | 1548587264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN090063) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 75420) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 229124) | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2023-11-03 |