| NPI | 1184288730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN086104) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: GA RN086104) |
| 163WH0200X Registered Nurse, Home Health (Licence: GA RN086104) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: GA RN086104) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN086104) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2022-03-31 |