| NPI | 1861656365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN159750) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN159750) |
| 163W00000X Registered Nurse (Licence: GA RN159750) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2025-09-18 |