NPI | 1669071668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN324933) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11008879) |
Enumeration Date | 2020-10-21 |
Last Update Date | 2024-07-30 |