| NPI | 1326696303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN181513) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: GA RN181513) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2026-08-11 |