NPI | 1093405698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN231716) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN231716) |
Enumeration Date | 2023-05-09 |
Last Update Date | 2023-08-02 |