| NPI | 1760089692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN228647) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA RN228647) |
| 363L00000X Nurse Practitioner (Licence: GA RN228647) | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2022-01-27 |