| NPI | 1144663170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN225396) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN225396) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN225396) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2015-07-30 |