NPI | 1669912143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN302804) |
Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: GA RN302804) |
Enumeration Date | 2017-03-02 |
Last Update Date | 2024-10-03 |