| NPI | 1265235139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN134562) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: GA RN134562) |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-07-08 |