NPI | 1720125834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN123591) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: GA 123591) |
171M00000X Case Manager/Care Coordinator (Licence: GA 123591) | |
363LF0000X Nurse Practitioner, Family (Licence: GA 123591) | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-01-11 |