NPI | 1992350847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN212717) |
Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: GA RN212717) |
163W00000X Registered Nurse (Licence: GA RN212717) | |
Enumeration Date | 2019-08-07 |
Last Update Date | 2024-03-01 |