| NPI | 1811783509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN222989) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN222989) | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-08-20 |