| NPI | 1518322841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN189636) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9257960) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9257960) | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2018-12-18 |