| NPI | 1134899206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN178412) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN178412) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN178412) | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2025-03-13 |