| NPI | 1316209604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN267526) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 630292) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN267526) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2026-02-26 |