| NPI | 1154876514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN202357) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F344225) |
| 163WH0200X Registered Nurse, Home Health (Licence: GA RN202357) | |
| 163WC0400X Registered Nurse, Case Management (Licence: GA RN202357) | |
| 163WH1000X Registered Nurse, Hospice (Licence: GA RN202357) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2021-03-02 |