| NPI | 1972072114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5012470) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN282977) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 23520) | |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2024-11-14 |