NPI | 1396213716 |
---|---|
Former Name | AIMEE MCGOVERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018039638) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2013034948) |
Enumeration Date | 2018-11-02 |
Last Update Date | 2024-04-10 |