| NPI | 1568007813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN231843) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN231843) |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2021-12-16 |