| NPI | 1649853516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN283911) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN283911) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2023-03-20 |