NPI | 1649393778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN149041) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN149041) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2018-04-12 |