NPI | 1548749575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN231288) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN231288) |
363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN231288) | |
Enumeration Date | 2018-08-10 |
Last Update Date | 2020-12-09 |