| NPI | 1881113173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN184062) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: GA RN184062) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-07-21 |