| NPI | 1023694437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN247259) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN247259) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2021-03-24 |