| NPI | 1487308300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN245106) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN245106) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN245106) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN245106) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2023-02-20 |