| NPI | 1669993580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN196152) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: GA RN196152) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-08-19 |