| NPI | 1982297701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13951-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN279115) |
| 363L00000X Nurse Practitioner (Licence: GA RN279115) | |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2023-11-08 |