NPI | 1043629140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN 199200) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN199200) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2016-01-04 |