NPI | 1518678994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN271215) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: GA RN271215) |
Enumeration Date | 2022-12-07 |
Last Update Date | 2022-12-23 |