| NPI | 1720464845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN214119) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: GA RN214119) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2022-11-01 |