NPI | 1649583329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN 169364) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN169364) |
163W00000X Registered Nurse (Licence: GA RN169364) | |
Enumeration Date | 2010-07-22 |
Last Update Date | 2025-10-17 |