| NPI | 1992570964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN190869) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA RN190869) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-03-27 |