NPI | 1073325791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN284669) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL APRN11036676) |
Enumeration Date | 2025-01-21 |
Last Update Date | 2025-03-17 |