| NPI | 1972129823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN305246) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP145538) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2021-11-01 |