NPI | 1346714334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN216343) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN216343) |
Enumeration Date | 2019-01-14 |
Last Update Date | 2020-10-01 |