NPI | 1508406737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN264562) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN264562) |
363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN264562) | |
Enumeration Date | 2020-01-15 |
Last Update Date | 2024-03-27 |