| NPI | 1740524859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN262254) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN262254) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN262254) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2019-01-25 |