NPI | 1649771569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN275221) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN275221) |
163W00000X Registered Nurse (Licence: GA RN275221) | |
Enumeration Date | 2018-02-26 |
Last Update Date | 2024-01-18 |