| NPI | 1932577632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN227140) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013330) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 280596) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC RN280596) | |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2021-09-01 |