NPI | 1790282614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN210516) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN210516) |
Enumeration Date | 2018-04-08 |
Last Update Date | 2021-09-16 |