| NPI | 1912443466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN106343) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN106343) |
| 363L00000X Nurse Practitioner (Licence: GA RN106343) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-02-20 |