| NPI | 1659449924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN134286) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN134286) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN134286) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN134286) | |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2024-01-11 |