NPI | 1053635961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN175692) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-099962) |
Enumeration Date | 2010-03-22 |
Last Update Date | 2014-05-16 |