| NPI | 1770930232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN172599) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN172599) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2020-10-15 |