NPI | 1194382994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN248493) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN248493) |
363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN248493) | |
363L00000X Nurse Practitioner (Licence: GA RN248493) | |
Enumeration Date | 2019-05-28 |
Last Update Date | 2023-11-29 |