| NPI | 1376939686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN218514) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN218514) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2017-03-17 |