| NPI | 1386428712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN201379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA RN201379) |
| 208M00000X Hospitalist (Licence: GA RN201379) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN201379) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN201379) | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-02-21 |