| NPI | 1649393778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN149041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN149041) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2018-04-12 |