| NPI | 1437875879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA APRN-NP105131) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN105131) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2025-10-29 |