| NPI | 1962981126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN227754) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN22754) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN227754) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2019-10-03 |