| NPI | 1720471519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 186504) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN186504) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 186504) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2020-04-24 |