| NPI | 1568923522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN239545) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN239545) |
| 363L00000X Nurse Practitioner (Licence: GA RN239545) | |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2022-04-14 |