| NPI | 1982202099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN185580) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN85580) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN185580) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA RN185580) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-12-31 |