NPI | 1972300051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN324422) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN324422) |
Enumeration Date | 2025-02-26 |
Last Update Date | 2025-08-01 |