NPI | 1558907634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN230856) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN230856) |
Enumeration Date | 2019-11-22 |
Last Update Date | 2021-02-02 |