| NPI | 1750926457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN254662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN254662) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN254662) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2021-12-27 |