| NPI | 1629620901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN191712) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN191712) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2022-02-10 |