| NPI | 1619397650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN191854) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: GA RN191854) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 191854) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2023-12-27 |