| NPI | 1699353524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN240352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN240352) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2022-10-21 |