| NPI | 1528414943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN185233) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN185233) |
| 363L00000X Nurse Practitioner (Licence: NC 5009595) | |
| 363L00000X Nurse Practitioner (Licence: SC 20151) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2022-01-13 |