| NPI | 1548729205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN254928) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN254928) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN254928) | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2022-11-30 |