NPI | 1053956045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN185141) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 10235) |
Enumeration Date | 2019-11-13 |
Last Update Date | 2024-07-19 |