| NPI | 1952793366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA RN195898) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN195898) |
| Enumeration Date | 2015-02-22 |
| Last Update Date | 2023-11-06 |