| NPI | 1801432307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 209804) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 209804) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2022-02-14 |