| NPI | 1669904884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN239737) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN239737) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN239737) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-10-20 |