| NPI | 1902083025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN053639) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN053639) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2018-08-15 |