NPI | 1821231861 |
---|---|
Former Name | BERTINE METAGO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN245551) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 296527) |
Enumeration Date | 2009-04-07 |
Last Update Date | 2022-09-19 |