| NPI | 1972187607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN247908) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN247908) |
| Enumeration Date | 2021-05-09 |
| Last Update Date | 2021-10-11 |