| NPI | 1952793366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN195898) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA RN195898) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: GA RN195898) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN195898) | |
| Enumeration Date | 2015-02-22 |
| Last Update Date | 2025-10-15 |