NPI | 1386135663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN212285) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN212285) |
363LF0000X Nurse Practitioner, Family (Licence: GA RN212285) | |
Enumeration Date | 2018-05-23 |
Last Update Date | 2020-05-12 |