| NPI | 1649583329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN 169364) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN169364) |
| 163W00000X Registered Nurse (Licence: GA RN169364) | |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2025-11-04 |