| NPI | 1619299393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN176844) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 65888) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2022-12-07 |