NPI | 1144653502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN266075) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 219257-30) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2024-11-06 |