| NPI | 1790859536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN143497) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: GA RN143497) |
| 363L00000X Nurse Practitioner (Licence: GA RN143497) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN143497) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2026-08-10 |