| NPI | 1386136539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP222619) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA NP222619) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2025-12-17 |