| NPI | 1447621693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN147041) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 363LA2200X) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 363G0600X) | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2023-04-28 |