NPI | 1104494897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN239431) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN239431) |
Enumeration Date | 2021-06-17 |
Last Update Date | 2023-05-26 |