| NPI | 1699253435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN208956) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN208956) |
| 363L00000X Nurse Practitioner (Licence: NC 5010805) | |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2022-01-31 |