NPI | 1033691118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN206881) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: GA NCO-000001) |
Enumeration Date | 2018-09-05 |
Last Update Date | 2023-08-01 |