| NPI | 1619431228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN249663) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN249663) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2021-02-01 |