| NPI | 1952009730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN237251) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: GA RN237251) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN237251) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: GA RN237251) | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-21 |