| NPI | 1821865759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN279508) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN279508) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-07-19 |