| NPI | 1699132605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN205801) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN205801) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: GA RN205801) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN205801) | |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2021-01-07 |