| NPI | 1104367465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA GAA-NP000275) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA GAA-NP000275) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: GA GAA-NP000275) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11010204) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA GAA-NP000275) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11010204) | |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2024-09-18 |