NPI | 1033608013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN226391) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A158679) |
Enumeration Date | 2018-05-06 |
Last Update Date | 2020-06-03 |