| NPI | 1851162242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024189017) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN294676) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN294676) | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-08-12 |