NPI | 1093157422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN200370) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN200370) |
Enumeration Date | 2013-07-26 |
Last Update Date | 2022-11-22 |