| NPI | 1992350847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN212717) |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy (Licence: GA RN212717) |
| 163W00000X Registered Nurse (Licence: GA RN212717) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2024-03-01 |