| NPI | 1770940538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN217948) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 0) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2025-03-20 |