NPI | 1992246557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: GA RN218306) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA RN218306) |
363LG0600X Nurse Practitioner Gerontology (Licence: GA RN218306) | |
Enumeration Date | 2017-03-15 |
Last Update Date | 2022-05-10 |