| NPI | 1013741537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN314464) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN31464) |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-09-25 |