NPI | 1952926065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN207452) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN207452) |
Enumeration Date | 2020-06-15 |
Last Update Date | 2021-12-17 |