| NPI | 1700630381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA APRN-NP283898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN283898) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2025-10-26 |