| NPI | 1730772500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN211580) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA rn211580) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN211580) | |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2023-06-30 |