| NPI | 1184989071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN164379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN164379) |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2026-02-26 |