| NPI | 1700325404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN290946) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 22221) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2020-09-25 |