| NPI | 1881939031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC APN17947) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 17947) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN158158) | |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2017-01-04 |