| NPI | 1649688193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN204611) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN204611) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |