| NPI | 1285002188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN281762) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R187273) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R187273) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2024-10-24 |