NPI | 1134950934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN273614) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN273614) |
363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN273614) | |
Enumeration Date | 2024-08-12 |
Last Update Date | 2025-03-21 |