| NPI | 1679820500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN192373) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 66133) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 24760) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2022-03-28 |