| NPI | 1730576786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN 191630) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 191630) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 191630) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2017-03-03 |