NPI | 1639766249 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA GAA-NP000053) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024180317) |
Enumeration Date | 2020-12-29 |
Last Update Date | 2021-04-01 |