| NPI | 1831134782 |
|---|---|
| Former Name | GEORGIANNA SUE MAYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 100553) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT 100553) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2021-11-11 |