| NPI | 1093465874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN254748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN254748) |
| 208M00000X Hospitalist (Licence: GA RN254748) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN254748) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2023-10-27 |