| NPI | 1568041168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN277339) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: GA RN277339) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN277339) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN277339) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN277339) | |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2024-03-18 |