| NPI | 1871945873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN250551) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 20301) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2026-04-23 |