| NPI | 1932853264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN196867) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN196867) |
| Enumeration Date | 2022-02-06 |
| Last Update Date | 2023-11-01 |