NPI | 1699161513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN282393) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL ARNP9220337) |
Enumeration Date | 2015-04-07 |
Last Update Date | 2019-02-12 |