NPI | 1295077899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP000553) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015313) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NM 03518) | |
Enumeration Date | 2013-03-21 |
Last Update Date | 2022-10-24 |