| NPI | 1972969160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN118146) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital Rural (Licence: GA RN118146) |
| 363L00000X Nurse Practitioner (Licence: GA 118146) | |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2024-03-12 |