| NPI | 1669850517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-03212) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN197961) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN197961) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2021-12-08 |