| NPI | 1588042535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN222256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN222256) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 19532) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-11-20 |