NPI | 1114681418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN325994) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN325994) |
Enumeration Date | 2021-10-25 |
Last Update Date | 2025-04-23 |