| NPI | 1922717032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN264728) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN264728) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2024-10-07 |