| NPI | 1801034731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN174879) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN555465) |
| 163W00000X Registered Nurse (Licence: GA RN174879) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: GA 174879) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: GA 174879) | |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2020-09-01 |