| NPI | 1689321457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN315841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN315841) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: FL RN9462160) | |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-10-31 |