| NPI | 1730644980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN222432) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN222432) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN222432) | |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2024-08-09 |