NPI | 1275000358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN174096) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA RN174096) |
363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN174096) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN174096) | |
Enumeration Date | 2018-10-26 |
Last Update Date | 2024-10-12 |