| NPI | 1841056223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN289022) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA RN289022) |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-09-10 |