| NPI | 1588949465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 16718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN218083) |
| 163W00000X Registered Nurse (Licence: TN 178617) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN218083) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2022-03-25 |