NPI | 1932879178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN296279) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN296279) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN296279) | |
Enumeration Date | 2021-09-19 |
Last Update Date | 2021-09-19 |