NPI | 1407226236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN218397) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN218397) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2022-06-23 |