| NPI | 1871746867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN272739) |
| Additional Taxonomies | 171W00000X Contractor (Licence: GA MT005457) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN272739) | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2023-01-10 |