| NPI | 1700047545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN115333) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN115333) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2018-02-01 |