NPI | 1033605118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN247225) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 247225) |
363LF0000X Nurse Practitioner, Family (Licence: GA 247255) | |
Enumeration Date | 2018-07-02 |
Last Update Date | 2022-09-19 |