| NPI | 1275026072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN211046) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT 173670) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MT 173670) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN211046) | |
| 363L00000X Nurse Practitioner (Licence: GA RN211046) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-12-14 |