NPI | 1124462007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010530) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0010530) |
363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN212851) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: DE LP-0010530) | |
163W00000X Registered Nurse (Licence: GA RN212851) | |
Enumeration Date | 2013-04-23 |
Last Update Date | 2024-09-30 |