| NPI | 1962961250 |
|---|---|
| Former Name | ABIGAIL KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN223911) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 223911) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2021-02-02 |