NPI | 1033635925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN235965) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN235965) |
Enumeration Date | 2017-08-22 |
Last Update Date | 2022-01-06 |