NPI | 1760992150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN208631) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: GA RN208631) |
Enumeration Date | 2017-10-11 |
Last Update Date | 2023-03-16 |